Individual
TYRA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11408 LAKE SHERWOOD AVE N STE A, BATON ROUGE, LA 70816-0421
(225) 261-7143
Mailing address
10732 S MALL DR APT 237, BATON ROUGE, LA 70809-4812
(225) 456-3894
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16299
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/08/2023
Last updated
09/23/2025
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